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Individual

DR. CHRISTOPHER PAUL LIENESCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3155 RESEARCH BLVD, SUITE 201, KETTERING, OH 45420-4020
(937) 775-1400
Mailing address
WSU DEPT OF AEROSPACE MEDICINE, 3640 COL GLENN HWY, DAYTON, OH 45435-0001
(937) 775-1400

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
M-10437
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.022560
OH

Other

Enumeration date
09/15/2008
Last updated
01/02/2014
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